<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Store_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-store_no" class="form-control" name="row[store_no]" type="text" value="{$row.store_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sub_merchant_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sub_merchant_no" class="form-control" name="row[sub_merchant_no]" type="text" value="{$row.sub_merchant_no|htmlentities}">
        </div>
    </div>
     <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('商户终端号')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sub_term_sn" class="form-control" name="row[sub_term_sn]" type="text" value="{$row.sub_term_sn|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Sand_store_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-sand_store_no" class="form-control" name="row[sand_store_no]" type="text" value="{$row.sand_store_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Pos_merchant_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-pos_merchant_no" class="form-control" name="row[pos_merchant_no]" type="text" value="{$row.pos_merchant_no|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Term_sn')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-term_sn" class="form-control" name="row[term_sn]" type="text" value="{$row.term_sn|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="statusList" item="vo"}
            <label for="row[status]-{$key}"><input id="row[status]-{$key}" name="row[status]" type="radio" value="{$key}" {in name="key" value="$row.status"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
